I-gallbladder yinxalenye ebalulekileyo yesistim sokutya. Uqokelela i-bile ngokugaya ukutya, ukhusela umzimba kwisiphumo esicasulayo sale nto kwaye ubonisa inani elidlulileyo. Ezinye izifo ze-gallbladder zingakhokelela ekuphuleni komsebenzi walolu lungu, ngenxa yoko kufuneka iqumrhu litshintshwe.
Kufuneka nini ukususa i-gallbladder?
Isalathiso esicacileyo sokususa i-gall bladder yenziwe ngamatye. Xa i-cholecystectomy imiselwe, uphawu oluza kunikwa ngezantsi, oku kuthetha ukuba iqumrhu liphazamiseke, liye layeka ukwenza imisebenzi yalo. Ingaba umsebenzi ufunekayo phambi kwamatye, ukusombulula ugqirha kwimeko nganye, kodwa ngesifo esinjalo, oogqirha bavame ukususa ilungu. Ukuchithwa nokuzama ukususa amatye akukhokelela kwiziphumo ezifunwayo, kuba i-gall bladder yenza iinguqu ezitsha ngexesha elifutshane.
Ukususwa kunye nokusebenza kwe-gallbladder kuboniswe kwiimeko ezilandelayo:
- i-gangrene ye-gallbladder;
- i-cholesterosis (i-cholesterol igxile kwiindonga ze-vestile);
- ukungena kwi-ducts yamatye;
- ukumisa ilungu kwimvelaphi ye-cholecystitis engapheliyo;
- iipolisi ezinkulu kwi-gallbladder ;
- neoplasms kwi-bladder;
- isithintelo samathumbu esiswini esabangelwa ilitye elifudukela emathunjini ukusuka kwi-gallbladder ngokusebenzisa i-fistula.
Izindlela zokususa i-gallbladder
Ukususwa kwe-gallbladder kubhekisele ekungeneleleni okuqhelekileyo. Ukuchaza oko kukuthi i-cholecystectomy, iindidi kunye nemiphumo yokuhlinzwa, oogqirha banakelela isigulane ukuba ukuphumelela kwayo kuxhomekeke kwizakhono zobugqirha, kwimpilo jikelele yesigulane kunye nokuziphatha kwakhe kwixesha elidlulileyo. Kukho iintlobo ezintathu ze-cholecystectomy:
- Vula iklasi - indlela endala yokususa i-gallbladder;
- i-minimalally invasive open-first operation enjalo yenziwa malunga neminyaka engama-45 edlulileyo;
- I-Laparoscopy - yaba khona ngenxa yephambili kwezobuchwepheshe bezobugcisa.
Cholecystectomy yaseLaparoscopic
Ukuba kuyimfuneko ukususa i-gallbladder, i-laparoscopy yinto ekhethekileyo. I-Laparoscopy, ngokuthelekiswa nezinye iintlobo ze-cholecystectomy, inokuphikisana okuncinci, ukunyamezela, imiphumo emncinci kunye nexesha lokubuyiselwa. I-laparoscopy ayiyenziwa phambi kobuqhophololo, ukubambelela kunye nezinye izinto ezibonakalayo.
Utyando lwe-laparoscopic lwenziwe ngokusebenzisa idivayisi ye-laparascopic. Ikuvumela ukuba ubonise umfanekiso wezitho zangaphakathi. Usebenziso luqala ngeeplctures eziliqela kwodonga lwesisu, apho kubanjwa khona i-manipulators kunye nekhamera. Ngokuqaliswa kwekhabhoni di carbonide kwisigxina, pha kamisa udonga lwesisu kwaye uphucule indlela yokwenza isilonda. Iqumrhu liqala ukuhlanjululwa kwisibindi, isuswe ngokugqithisa.
Vula i-cholecystectomy
Lo msebenzi wokususa i-bile unceda ukufumana ukufikelela okubanzi kwisigxina esiswini ukuze wenze izixhobo ezihambelanayo ezifunekayo: ezisebenzayo izitho eziseduze, ukuhlola iingcamango ze-bile, ukwenza i-ultrasound okanye i-cholangiography. Ngenxa yoko, ukusikwa kunye neKocher kwenziwa kwindonga yangasemva yomzimba. Vula i-cholecystectomy inobungozi obunjalo:
- izikhonkwane ezinkulu;
- ixesha elide lokubuyisela;
- iingxaki ezininzi xa kuthelekiswa ne-laparoscopy.
Ubomi emva kokususwa kwe gallbladder
Emva kokusebenza, kuthatha malunga neenyanga ezi-4 ukulungelelanisa imeko ephila ngayo. Umthwalo mkhulu kweli xesha li-ducts ne-bindi, emele ihlawule ukungabikho kwelungu. Ngeli xesha kubalulekile ukunamathela ekudleni, kungekhona ukubandakanyeka kwiyeza. Amalungiselelo ezonyango azamkelekileyo kufuneka amiselwe ngugqirha ngenxa yokungabikho kwebhola ekhethekileyo.
Emva kokuba usebenze ukususa i-gallbladder, ixesha elide isigulane siza kuba neengxaki kwi-stool, esiya kubuya njengoko umzimba uvumelanisa. Emva kweenyanga ezi-4-6 umntu unokukhokela ubomi obuqhelekileyo, kodwa ngexesha elifanayo uya kufuneka abambelele kwimikhwa yokutya kuze kube sekupheleni kwemihla yakhe. Ukuphambuka ekudleni kuya kubangela ukuvakalelwa okungahambi kakuhle kwindlela yokugaya, iingxaki zesigxina, intlungu kwi-epigastric region.
Ukususwa kwexesha lebhayariary - postoperative
Ukusetyenziswa kwe-cholecystectomy kubhekiselele kumanyathelo angenelelo olusilula. Emva kokususwa kwe-gallbladder, isigulane sigcinwe kwiyunithi yonyango olude kwiiyure eziliqela phantsi kolawulo lwabasebenzi bezonyango. Emva kweeyure ezingama-5, isigulane sinikelwa ukunyuka ngokukhawuleza, kwaye emva kweeyure ezingama-6 ukuya ku-7 ungadla encinci. Ngomso umguli kufuneka aqale ukuhamba kancane. Emva kweentsuku ezimbalwa, isigulane sisuswe emanzini, kwaye, ngokungabikho kweengxaki, ikhutshwa ngosuku lwesithathu. Konke oku kunye neenyanga ezilandelayo ezi-3 isigulane sisondlo sokutya.
Unyango emva kokususwa kwe gallbladder
Amayeza emva kokususwa kwe gallbladder iyancitshiswa. Ngeentsuku zokuqala, oogqirha banokumisela iyeza zentlungu xa isigulane sineentlungu ezinzima. Nge-spasm ye-biliary tract, i-spasmolytics inokumiselwa okwesikhashana. Ukuphucula iipropathi ze-bile, iziyobisi nge-ursodeoxycholic acid zisetyenziswa:
- Hepatosan;
- Ursosan ;
- Enterosan;
- Ursofalk.
Ukutya emva kokususwa kwe gallbladder
Isondlo esifanelekileyo emva kokususwa kwe-gallbladder kuthintela ixesha lokubuyiselwa kwaye liphucula impilo yesigulane. Izigulane ezishiywe ngaphandle kwe-gallbladder zifuna ukwazi oko kunokudliwa emva kokususa i-gallbladder, kwaye udle amaqhezu angama-6 ngosuku. Oku kuya kukhuthaza ukubunjwa kwe-bile kunye nokukhusela iinkqubo eziqhubekayo. Isiqingatha seyure ngaphambi kokutya, kubalulekile ukusela iglasi yamanzi, kwaye yonke imini iyayinceda ukusela ubuncinane i-2 litres zamanzi ahlambulukileyo.
Ukutya kufuneka kufudumele, ukwenzela ukuba ungacasuli inkqubo yokutya. Ukutya emva kokususa i-gallstone ngaphezulu kubonisa ukuba awukwazi ukuyidla. Imenyu emva kokususwa kwe-gallbladder kufuneka ilinganiswe kwaye iqule inani elincinci lemveliso:
- ukutya okunamafutha kunye nokutya;
- iimveliso kunye neebhotela;
- iilekese kunye ne-confectionery;
- iifatata;
- macaroni;
- utywala.
Ukutya kwansuku zonke kunokubandakanya izitya ezifana nalezi:
- Ukutya kwasekuseni: i- alben omelet, ubisi ngobisi, itiye.
- Isidlo sasekuseni sesibini: inxalenye yesikhosi sase-kottage, umhluzi we-dogrose.
- Ukutya: isobho sekhilimu kunye nokongezwa kweesinkwa, inqanawa yenkukhu ebilisiwe okanye i-veal, i-carrot puree, i-jelly fruit.
- I-Snack: i- apple ebhaka, kunye ne-kottage cheese nobusi.
- Ukutya isidlo: i-porridge yamanzi, iifatata ezifihliweyo, intlanzi ebilisiwe, itiye.
- Isidlo sokugqibela: i- jelly izithelo, i-kefir.
Ukususwa kwe-gallbladder - imiphumela
Naliphi na indlela eyenziwa ngayo, umzimba naluphi na umva uxinzelelo kwaye ufune ixesha lokuvuselela inkqubo yomzimba. Ukuba isigulane senziwe i-cholecystectomy, iingxaki ziza kubhengezwa kwithuba lokuqala lokuhamba emva. Isigulane siya kuziva ubuhlungu obukhulu kwaye buhlungu, isisu, isisu esiswini, uya kuba neengxaki kwi-stool. Kancinane, le mizwa iya kuncipha.
Ukuhlaziya ukuhlaziywa kunokunxulumana nesondlo sesisu:
- pancreatitis ;
- gastritis;
- i hepatitis;
- ukungasebenzi kwe-sphincter ka-Oddi;
- ukuhlaziya.
Kwiingxaki emva kokusebenza ukususa i-gallbladder kunye nesidingo sokhathalelo olukhawulezayo lwezonyango kubonisa iimpawu ezinjalo:
- bushushu obuphezulu;
- buhlungu;
- i-yellow sclera yamehlo;
- isikhumba se-icteric.